Individual
MRS. ANNA VELOCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4098 LIBRA DR, ORLANDO, FL 32816-3333
(407) 823-2701
(407) 823-4352
Mailing address
PO BOX 163333, ORLANDO, FL 32816-3333
(407) 823-2701
(407) 878-7757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PAX 1361
PRESCRIPTIVE LICENSE
FL
Enumeration date
04/11/2007
Last updated
11/17/2016
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